Individual
MR. GORDON FREDRICK SMITH II
Active
Individual
MR. GORDON FREDRICK SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1227
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150880200
DEPT OF LABOR
MT
05
—
3400488
—
MT
01
—
60466
BC BS
MT
Enumeration date
11/07/2006
Last updated
06/20/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up